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General NPI Number Information
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NPI Number | 1568012672
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Entity Type | Individual
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Provider Name | YUGANDHAR RAMAKRISHNA AU.D., PH.D., CCC-A
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Gender | Male
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 09/19/2019
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Provider Practice Location Address
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Address Line | 100 MONTEREY HALL 18111 NORDHOFF STREET
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City | NORTHRIDGE
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State | CA
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Zip | 91330-0001
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Country | US
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Telephone | 818-677-5510
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Fax |
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Provider Business Mailing Address
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Address Line | 345 MONTERY HALL 18111 NORDHOFF STREET
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City | NORTHRIDGE
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State | CA
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Zip | 91330-0001
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Country | US
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Telephone | 818-677-5510
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU3412
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License Number State | CA
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